Materials and Methods: In this retsospective study, 43 eyes of 28 patients with a diagnosis of high myopia who underwent phakic intraocular lens (Artiflex) implantation between August 2008 to August 2010 were evaluated. Patients ages were between 18 to 44 years (mean 31.38±7.79) 11 (39.9%) female and 17 (60.1) male). Patient follow-up period was 24 months. Surgeries were performed for both eyes with one week intervals. Patients’ uncorrected distance and near visual acuities (UDVA and UNVA), glare and halo sensitivities, and satisfactions were measured. Patients refraction, visual acuity, endothelial cell count and complications were noted in both preoperative and postoperative period.

Results: The mean postoperative spherical value was -0:30 ±0.38D (from +0.50 to -1.00 D), mean spherical equivalent was -0.84±0.48D (from -1.75D to +0.12D), Postoperative uncorrected visual acuity was 0.66±0.18 Snellen lines, best corrected visual acuity was 0.75±0.19, mean central corneal endothelial cell count was 2724 ±255 hc/mm^² (3232 and 2216 hc/mm²), central endothelial cell loss ratio was 7.1% at 24th month. There was no reported preoperative, intraoperative and early postoperative complications in both early postoperative period. Trace pigment dispersion was observed in 5 eyes.

Conclusion: İris-claw phakic intraocular lens implantation surgery In patients with high myopia achieved a good distance visual acuity and reached a high level of patients satisfaction and comfort. Keywords : Phakic intraocular lenses, iris-claw lenses